七氟醚吸入麻醉与静吸复合麻醉在小儿脑瘫手术中的麻醉效果对比研究

Comparison of Anesthesia Effect of Sevoflurane Inhalation Anesthesia and Intravenous Inhalation Anesthesia in Children with Cerebral Palsy Surgery

目的分析在小儿脑瘫(Cerebral Palsy,CP)手术中应用七氟醚吸入麻醉与静吸复合麻醉的效果。方法选取山东省康复医院于2022年1月—2023年7月收治的90例脑瘫患儿为研究对象,以双盲法分为两组,每组45例,对照组采取七氟醚吸入麻醉,观察组采取静吸复合麻醉,比较两组不良反应、心率和血氧饱和度指标。结果观察组术后寒战总发生率为4.44%,低于对照组的22.22%,差异有统计学意义(P<0.05)。观察组不良反应总发生率为2.22%,低于对照组的20.00%,差异有统计学意义(P<0.05)。气管插管后15 min,两组心率均下降,但观察组的心率优于对照组,差异有统计学意义(P<0.05);观察组患儿的血氧饱和度优于对照组,差异有统计学意义(P<0.05)。结论在小儿脑瘫手术中选取静吸复合麻醉,患儿寒战及不良反应发生率低,且心率和血氧饱和度更优,对保障手术顺利进行有积极作用。

Objective To analyze the effect of sevoflurane inhalation anesthesia and intravenous anesthesia combined with cerebral palsy(CP)in children.Methods A total of 90 children with cerebral palsy admitted to Shandong Rehabilitation Hospital from January 2022 to July 2023 were selected as the research objects.They were divided into two groups by double-blind method,with 45 cases in each group.The control group was given sevoflurane inhalation anesthesia,and the observation group was given intravenous inhalation combined anesthesia.The adverse reactions,heart rate and blood oxygen saturation indexes between the two groups were compared.Results The total incidence of postoperative chills in the observation group was 4.44%,which was lower than 22.22%in the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was 2.22%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).15 min after tracheal intubation,the heart rate of the two groups decreased,but the heart rate of the observation group was better than that of the control group,the difference was statistically significant(P<0.05),and the blood oxygen saturation of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion In children with cerebral palsy surgery,the combination of static and inhalation anesthesia has low incidence of chills and adverse reactions,and better heart rate and blood oxygen saturation,which has a positive effect on ensuring the smooth operation.